Individual
MS. EVELYN FAYE BONECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1911 S DAWES ST, KENNEWICK, WA 99338-2024
(509) 586-2078
Mailing address
1911 S DAWES ST, KENNEWICK, WA 99338-2024
(509) 586-2078
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00021053
WA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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